Active NPI
Joseph Thomas Bellucci, ED.D.
- Mental Health Counselor
- Conyngham, PA
National Provider Identifier
1982844056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PS000680L
- Practice address
- 7 Hetler Drive
Conyngham, PA 18219 - Phone
- (570) 788-3341
- NPI assigned
- Mar 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PS000680L | PA | Primary |
Addresses
Primary practice location
7 Hetler Drive
Conyngham, PA 18219
Mailing address
PO Box 55
7 Hetler Drive
Conyngham, PA 18219-0055
Phone (570) 788-3341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS000680L | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1982844056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55",
"address_2": "7 HETLER DRIVE",
"city": "CONYNGHAM",
"state": "PA",
"postal_code": "182190055",
"telephone_number": "570-788-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HETLER DRIVE",
"city": "CONYNGHAM",
"state": "PA",
"postal_code": "18219",
"telephone_number": "570-788-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUCCI",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PS000680L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyngham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.